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HomeMy WebLinkAbout08-8132 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 8132 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 8132 FIRE PROTECTION MAINTENANC FIRE-PROTECTION MAINTENAN E COMMERCIAL Book: 7/30/2008 25.00 25.00 7/30/2008 Phone: FPM-FIRE ALARM- QUARTERL Y-PUBLlX Name: TOWNVIEW RETAIL LLC Address: 725 CONSHOHOCKEN STATE RD BALA CYNWYD PA 190042102 610 667-5800 ~~;o~ Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire prevention and protection related activities such as inspections, plan review, administrative fees, and other costs related to the aforementioned. Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATIORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ... P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPEcnON CALL FOR INSPEcnON - 8 HOUR NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 . 813-7~0-0020 Date Received .'Iler's Name Owner's Address City of.Zephyrhills Fire Permit Application #.rgt31- Fax-813-78D-0021 7- 30- 0 Z' Phone Contact for Penn it lJi""wVlV/eLV Rera.tI L L C Owner's Phone Number 1/)/:3 S'Ct;/Tz. ~E Pc~;rD1et LLC r~Ct:JY)5/J(J' ~C e ~ ~lr 117$'.:3 119)"tf / ol fA Fee Simple Titleholder Name I Titleholder Phone Number II II Fee Simple Titleholder Address Job Address Sub Division Parcel # Lot # 1..:3..r~~S'~/-"D/t?-O !7c7/lIJ-Oc) / / tUb I f\1I'11~U r-KUIVI t"KUt"~K I Y I f\A NU II~~) D Fire Alann Installation D Fire Pumps D Fire Works D Flammable Application- ANNUAL c==J Fuel Tanks D Other: I ~.~~ D D D o D D Contractor Signature Address I ELECTRICIAN Signature Address PLUMBER Signature Address MECHANiCAL! Signature I Address I Controlled Bum D o o D D o D 0 ~~tte'('fy 0 D 0 D o o Bio-Hazard Waste Storage - ANNUAL Comm Exhaust Kitchen Hood/Duct . Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL Sprinkler Fire Alann Hood Clean/Suppression Fumigation Tent Hazardous Material (Tier II or RQ Facility) ANNUAL Hood Installation LP/Natural Gas-Installation LP/Natural Gas-ANNUAL Sale Places of Assembly-ANNUAL Recreational Bum Sparklers Sprinkler System Installations Standpipes (Sprinkler Sys) Torch Roofing Waste Tire Storage ANNUAL Valuation of Project .- Company Registered License # ~e.ctlrITY5t~c.e~ ~ Fee Current _ N I I I I I I I I Y /N I l OTHER Signature Address I , ...".""....:<i!<<<<w.. Directions: Fill out application completely. Owner & Contractor. sign back of application, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement is required (Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Company Registered License # I CP 1>0 t:!) I/O!. 3 I Y/N I Fee Current I Y/N I Y/N I Fee Current I Y/N Y/N I Fee Current I Y/N Company Registered License # Company Registered License # Company Registered Fee Current I Y/N I License # _~_',v ,~'~~ ___..__...__....._I..._PM_.~_.._.~__.._ ..._.... ~_~.' '. . ..NQT.JCE.OFDEED,RESTRICTIONS: The undersigned understands1hatthis permit m~ybesl:lbject to ~deed" restrictions" -Which may be more restrictive .than County regulations. The undersigned assumes . responsibility for compJiance with any applicable deed restrictions. . '. .. . . UNLICENSED CONTRACTORS AND 'CONTRACTOR RESPONSIBILmES: If the owner has hired a contractor 0 or . contractors to un~ertake work, they may be required to o. be licensed in accordanc~ with'state and local regUlations. If the con~ctor is not licensed as required by law, both the owner and contractor may be .cited for a ':misdemeanor violation under. state law. If the owner or intended contractor are uncertain as to.what licensing -requirements may apply for the intended work, they are advised to contact the Pasco.County Building Inspection D.Msion-l:.icenslng Section at 727-847- 8009. . Furthermore, If the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions.of the "contractor Block" of this 'application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he Is not properly licensed and is not entitled to permitting privileges in Pasco County. . CONSTRUCTION'UEN'LAW (Chapter713, Florida Statutes, as amended): 1fvaluation of work Is $2,500.00 or more;'1 certify that I, .the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the appliCant is someone other than' the "owner", I.certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and ... .n', ... "that.all.work-will be-done In.compliance.wlth--all.-applicable.-Iaws .regulatiRg.-cOAStnJctioA,..ZOAiAg.:and..land........... development. Application is hereby made to obtain a perm.it to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating .construction, County and City codes, zoning regulations, and land developm~nt .regulations in the jurisdiction. I also certify .that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to. i~entify what actions I must-take to be in compliance. . If lam the AGENT fOR. THE OWNER, I promise in good faith to infonnthe owner of the permitting conditions'set forth :in this affi.davit prior .to coiTlI:n~ncing construction. I understand that a separate permit may -be required for. electrical work, plumbing, signs; wells,-pools, air conditioning, gas, or other installations not l?peclfically included in the application. A Permit iS$u~d . shall:~ cons.trued to be a 'license to proceed with the work and not as auth~rity to violate, cancel, alter, or setasidel any'provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from tl1ereafter . requirlng.accmection of errors in pl~ns, construction or violations of any codes. Every J?6rmit issued shall become invalid . .unl~'ifje:jiVork;aUt.h()rized'"by such permit is commenced Within six month~ o.f permit. Issuance, or If work authorized by . .tfie:~frii.it.Js-$u$'p~rided or abandoned for a period ~ six (6) mo~ths after the time th~ work is commenced: An extension ,may.:J:Je requested, tn writing, from the Bulldlng OffiCIal.for a penod not t~ exceed mn~ty ~90) .da~ and'wllI demonstrate , j~~~e ~iJse for tlie extension. If work ceases for ninety (90) consecutive days, the Job IS conSidered abandoned. WARNiNG TO OWNER: YOUR fAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS ~~.. YO~R f'~9P.E.~1X:_ .IF~m1=.JIR,;rQ.g~;rAlfll~I"'A"'CJNG, CONSULT .{ Vt(I1H..~~~~':1~~~ISS~-s.:~. . .W, ,CE"OF COMNlENCEMENT. ~~~:;~'aRAG~NT' ......__~.:.......:~..:....:......-.......-_.-:_-.-..-...--..._m-m---CONTRACTOR...----------...--.......-.~---........-..-.. ..' . ..... ..... ..... ........-.....-...... Subscribed and sWorn to {or aflirmed) before me this Subscribed and ~ to (or affirmed) before me this woo"lslare per:;naI1y knoWn to me or hasJhaVe produced Who is/are personally known to me or haslhave produced . as Identification. as Identification. Notary Public Notary Public Commission No. .Commlssion No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped